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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed As Having Hashomitos Disease, Have Chronic Urticaria Hives, Hives, Rashes. Taking Oroxine, Pilates. Suggest?

hi, I have been diagnosed as having Hashomotos disease and are currently taking Oroxine 50 micrograms and Tertroxin 20mcg per day. I feel constantly exhausted (60 years old) relatively fit And do yoga and Pilates, and walking almost everyday. I also have chronic Urticaria Hives that make me miserable. I believe there is a link between Hashys and hives and wondering if I can increase my medication to 100mcg to see if this alleviates the hives?? If I take Zyrtec morning and night the rash subsides immediately, but I can't take those for the rest of my life as I am sure there will be side effects. I have eliminated gluten from my diet completely. Can you please advise
Fri, 14 Jun 2013
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Dermatologist 's  Response
Hello,
Welcome to healthcare magic
You seem to be having a condition called as chronic urticaria.
In majority of the cases, it is not possible to find out a cause for the urticaria, which is when we call it is “idiopathic”.

In few of the cases, it could be due to a specific food, medications and infections, or auto-immune.

As you have Hashimoto's chance of your urticaria being auto-immune is higher.
Some times treatment of thyroid status cures urticaria, but urticaria should not decide the adjustment of thyroxine. Your TSH levels and T3, T4 levels should decide your thyroxine dose. Your endocrinologist will take a call on that.

Taking cetrizine for long duration is not harmful. Continue taking antihistamine regularly in a minimum dose required to control wheals. It might stop one day, till then be comfortable.
Hope this helped
Take care
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Diagnosed As Having Hashomitos Disease, Have Chronic Urticaria Hives, Hives, Rashes. Taking Oroxine, Pilates. Suggest?

Hello, Welcome to healthcare magic You seem to be having a condition called as chronic urticaria. In majority of the cases, it is not possible to find out a cause for the urticaria, which is when we call it is “idiopathic”. In few of the cases, it could be due to a specific food, medications and infections, or auto-immune. As you have Hashimoto s chance of your urticaria being auto-immune is higher. Some times treatment of thyroid status cures urticaria, but urticaria should not decide the adjustment of thyroxine. Your TSH levels and T3, T4 levels should decide your thyroxine dose. Your endocrinologist will take a call on that. Taking cetrizine for long duration is not harmful. Continue taking antihistamine regularly in a minimum dose required to control wheals. It might stop one day, till then be comfortable. Hope this helped Take care